Organization Active NPI

My Sleep LLC

  • Sleep Disorder Diagnostic Clinic/Center
  • San Francisco, CA
National Provider Identifier
1295507416
Registry record updated Dec 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
MY SLEEP LLC
Practice address
4444 Geary Blvd Ste 214
San Francisco, CA 94118-3013
Phone
(408) 922-9036
NPI assigned
Oct 23, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Robert Jonathan Gomez
Title
Ceo
Phone
(408) 922-9036

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X Primary
Physiological Laboratory 293D00000X

Addresses

Primary practice location

4444 Geary Blvd Ste 214
San Francisco, CA 94118-3013

Mailing address

4444 Geary Blvd Ste 214
San Francisco, CA 94118-3013
Phone (408) 922-9036

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240129001332 CA Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 8224481015 Practice locations: San Francisco, CA

National Provider Directory

National Provider Directory

Locations

4444 Geary Blvd
Ste 214
San Francisco, CA 94118
Phone (408) 922-9036

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1698019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703721600000",
    "number": "1295507416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4444 GEARY BLVD STE 214",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941183013",
            "telephone_number": "408-922-9036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4444 GEARY BLVD STE 214",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941183013",
            "telephone_number": "408-922-9036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY SLEEP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-23",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JONATHAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "408-922-9036"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.